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MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

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FM/UOJ<br />

A pointer moves in an ark by operating a wheel at the back. This pointer travels<br />

from the mark at the centre up to the vertical plane of the tested eye. <strong>The</strong> movement of<br />

the pointer is coupled to a pin at the back of the instrument. A paper is fitted to the paper<br />

holder and the position of the moving pin can be entered on the paper by pressing the<br />

paper holder against it. <strong>The</strong> whole assembly could be rotated through full circle the fields<br />

of vision at every angle could be detected accurately.<br />

Method:<br />

Take the perimeter chart and fix it on to its holder, so that the marks on the holder<br />

correspond to the marks on the chart. Move the pointer to the mark (bring the pin to the<br />

centre) and press the paper against the pin to make sure that the centre of the chart<br />

corresponds to the centre of the holder.<br />

Seat the subject comfortably and cover one eye. Position the chin on its stand so<br />

that the eye to be examined is against the central mark on the perimeter. Instruct the<br />

subject to fix the gaze on the mark and indicate when the pointer comes into view. Take<br />

the pointer to the outer most point by rotating the wheel and move it slowly towards the<br />

centre. As soon as the subject gives the signal, stop the wheel and press the paper holder<br />

against the pin to get the position entered in the chart. Rotate the arc by 30° and repeat the<br />

procedure. Record the field of vision until the circle is completed.<br />

Remove the chart and fit it again to test the other eye and carry out the procedure<br />

for the other eye. Remove the paper and join the points made by the pin to obtain the field<br />

of vision.<br />

Past a copy of the Perimeter chart.<br />

Give examples of change in visual field:<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

Neurology<br />

Page | 145

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